| Greentree Counseling Llc | |
|
160 E Geneva Sq Lake Geneva WI 53147-9694 | |
| (262) 249-0830 | |
| (262) 249-0835 |
| Full Name | Greentree Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 160 E Geneva Sq, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Craig Alan Luebke (OWNER) |
| Authorized Official Contact | 2622490830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greentree Counseling Llc Po Box 100 Zenda WI 53195-0100 Ph: (262) 249-0830 | Greentree Counseling Llc 160 E Geneva Sq Lake Geneva WI 53147-9694 Ph: (262) 249-0830 |
| NPI Number | 1801026935 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801026935 | NPI | - | NPPES |
| 39637100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3556-123 (Wisconsin) | Primary |
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